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Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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Hospital

COLQUITT REGIONAL MEDICAL CENTER

Moultrie, GA · CCN 110105 · Rates published

4,956 distinct procedures filed
21 distinct payers
547,060 rate rows
2026-04-13 last MRF observed
Data quality

545,294 of 547,060 rate rows are consumer-grade (99.7%)

1,766 rows are marked excluded from the consumer medians — these stay visible in the raw drill-down with the same reason shown here, so nothing is silently hidden.

Excluded — reasonRows
percent-of-billed methodology on a DRG bundle — not comparable to case rates; shown as context only 1,392
exceeds 10× this hospital's gross charge — excluded from medians 213
percent-of-charges filed in the dollar field — excluded from medians 88
below 25% of the Medicare reference for this code — likely a mislabeled per-diem or placeholder; excluded from medians 63
placeholder amount (≤ $0.02) — excluded from medians 10
Data source & audit trail ↓ Download audit trail (JSON)
Source MRF file https://colquittregional.com/wp-content/uploads/580607088_hospital-authority-of-colquitt-county_standardcharges.csv
Found on page https://colquittregional.com/patient-resources/finance-and-billing/
Discovered viaCMS hospital list
Last fetch not_modified · 2026-08-11
Content fingerprint a75acb50733ce104… · 71,812,480 bytes · first seen 2026-05-11

Top 50 most expensive offerings

Outliers are flagged where this hospital's filed rate is ≥2× or ≤0.5× the national median for the same code.

Code Description Payers Min $ Max $ Avg median vs national
3
MS_DRG 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 20 $525,458.12 $603,974.85 $603,974.85 nat. median
$199,832
outlier · 3.0×
3
OTHER 		Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 21 $531,497.87 $603,974.85 $603,974.85 nat. median
$206,020
outlier · 2.9×
4
MS_DRG 		Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 20 $274,012.64 $314,957.06 $314,957.06 nat. median
$132,706
outlier · 2.4×
4
OTHER 		Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 21 $277,162.21 $314,957.06 $314,957.06 nat. median
$141,447
outlier · 2.2×
606
MS_DRG 		Minor Skin Disorders W Mcc 21 $160,319.81 $184,275.64 $184,275.64 nat. median
$15,538
outlier · 11.9×
239
MS_DRG 		Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 21 $148,018.00 $170,135.63 $170,135.63 nat. median
$47,513
outlier · 3.6×
577
MS_DRG 		Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 21 $130,590.08 $150,103.54 $150,103.54 nat. median
$26,033
outlier · 5.8×
356
MS_DRG 		Other Digestive System O.r. Procedures W Mcc 21 $126,841.38 $145,794.69 $145,794.69 nat. median
$42,341
outlier · 3.4×
453
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Mcc 21 $123,637.41 $142,111.96 $142,111.96 nat. median
$83,623
1.7× median
981
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 21 $114,542.23 $131,657.73 $131,657.73 nat. median
$45,808
outlier · 2.9×
957
MS_DRG 		Other O.r. Procedures For Multiple Significant Trauma W Mcc 21 $112,889.25 $129,757.76 $129,757.76 nat. median
$71,485
1.8× median
207
MS_DRG 		Respiratory System Diagnosis W Ventilator Support >96 Hours 21 $110,843.59 $127,406.43 $127,406.43 nat. median
$62,218
outlier · 2.0×
870
MS_DRG 		Septicemia Or Severe Sepsis W Mv >96 Hours 21 $100,392.48 $115,393.65 $115,393.65 nat. median
$65,958
1.7× median
163
MS_DRG 		Major Chest Procedures W Mcc 21 $97,301.10 $111,840.35 $111,840.35 nat. median
$44,914
outlier · 2.5×
270
MS_DRG 		Other Major Cardiovascular Procedures W Mcc 21 $97,065.39 $111,569.41 $111,569.41 nat. median
$50,808
outlier · 2.2×
454
MS_DRG 		Combined Anterior/posterior Spinal Fusion W Cc 21 $95,479.99 $109,747.12 $109,747.12 nat. median
$57,648
1.9× median
460
MS_DRG 		Spinal Fusion Except Cervical Without Mcc 21 $91,261.96 $104,898.80 $104,898.80 nat. median
$37,051
outlier · 2.8×
983
MS_DRG 		Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 21 $90,066.75 $103,525.00 $103,525.00 nat. median
$17,327
outlier · 6.0×
33249
CPT 		Aicd With Lead(s) 21 $908.85 $104,796.00 $98,780.00 nat. median
$31,420
outlier · 3.1×
477
MS_DRG 		Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 21 $85,305.39 $98,052.17 $98,052.17 nat. median
$33,473
outlier · 2.9×
247
MS_DRG 		Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 21 $84,184.60 $96,763.91 $96,763.91 nat. median
$15,753
outlier · 6.1×
242
MS_DRG 		Permanent Cardiac Pacemaker Implant W Mcc 21 $82,264.27 $94,556.63 $94,556.63 nat. median
$32,539
outlier · 2.9×
934
MS_DRG 		Full Thickness Burn Without Skin Graft Or Inhal Inj 21 $81,713.73 $93,923.83 $93,923.83 nat. median
$20,825
outlier · 4.5×
455
MS_DRG 		Combined Anterior/posterior Spinal Fusion Without Cc/mcc 21 $81,140.78 $93,265.26 $93,265.26 nat. median
$46,399
outlier · 2.0×
Q2043
HCPCS 		Provenge 21 $53,981.46 $98,513.00 $92,858.00 nat. median
$65,655
1.4× median
853
MS_DRG 		Infectious & Parasitic Diseases W O.r. Procedure W Mcc 21 $80,592.76 $92,635.36 $92,635.36 nat. median
$47,707
1.9× median
335
MS_DRG 		Peritoneal Adhesiolysis W Mcc 21 $79,610.44 $91,506.25 $91,506.25 nat. median
$34,738
outlier · 2.6×
246
MS_DRG 		Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 21 $79,005.89 $90,811.37 $90,811.37 nat. median
$25,356
outlier · 3.6×
374
MS_DRG 		Digestive Malignancy W Mcc 21 $78,035.37 $89,695.83 $89,695.83 nat. median
$20,871
outlier · 4.3×
341
MS_DRG 		Appendectomy Without Complicated Principal Diag W Mcc 21 $74,919.06 $86,113.86 $86,113.86 nat. median
$17,623
outlier · 4.9×
252
MS_DRG 		Other Vascular Procedures W Mcc 21 $74,681.91 $85,841.28 $85,841.28 nat. median
$33,823
outlier · 2.5×
329
MS_DRG 		Major Small & Large Bowel Procedures W Mcc 21 $72,226.31 $83,018.75 $83,018.75 nat. median
$44,514
1.9× median
243
MS_DRG 		Permanent Cardiac Pacemaker Implant W Cc 21 $71,859.01 $82,596.56 $82,596.56 nat. median
$22,401
outlier · 3.7×
511
MS_DRG 		Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc W Cc 21 $71,692.72 $82,405.43 $82,405.43 nat. median
$20,373
outlier · 4.0×
497
MS_DRG 		Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 21 $71,623.23 $82,325.55 $82,325.55 nat. median
$13,582
outlier · 6.1×
664
MS_DRG 		Minor Bladder Procedures Without Cc/mcc 21 $71,584.02 $82,280.48 $82,280.48 nat. median
$11,537
outlier · 7.1×
539
MS_DRG 		Osteomyelitis W Mcc 21 $71,315.73 $81,972.10 $81,972.10 nat. median
$19,527
outlier · 4.2×
33264
CPT 		Rmvl & Rplcmt Defib Gen Mlt Ld 21 $355.88 $81,600.00 $81,600.00 nat. median
$31,464
outlier · 2.6×
467
MS_DRG 		Revision Of Hip Or Knee Replacement W Cc 21 $70,929.12 $81,527.72 $81,527.72 nat. median
$34,366
outlier · 2.4×
164
MS_DRG 		Major Chest Procedures W Cc 21 $67,862.78 $78,003.19 $78,003.19 nat. median
$25,372
outlier · 3.1×
95
OTHER 		Bacterial & Tuberculous Infections Of Nervous System W Cc 21 $66,815.14 $75,926.30 $75,926.30 nat. median
$25,734
outlier · 3.0×
95
MS_DRG 		Bacterial & Tuberculous Infections Of Nervous System W Cc 20 $66,055.88 $75,926.30 $75,926.30 nat. median
$24,774
outlier · 3.1×
468
MS_DRG 		Revision Of Hip Or Knee Replacement Without Cc/mcc 21 $65,369.95 $75,137.87 $75,137.87 nat. median
$27,037
outlier · 2.8×
739
MS_DRG 		Uterine, Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 21 $63,580.37 $73,080.89 $73,080.89 nat. median
$36,182
outlier · 2.0×
385
MS_DRG 		Inflammatory Bowel Disease W Mcc 21 $62,292.60 $71,600.69 $71,600.69 nat. median
$16,070
outlier · 4.5×
856
MS_DRG 		Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 21 $61,948.02 $71,204.62 $71,204.62 nat. median
$43,549
1.6× median
61
MS_DRG 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 20 $60,949.07 $70,056.40 $70,056.40 nat. median
$27,182
outlier · 2.6×
61
OTHER 		Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 21 $61,649.63 $70,056.40 $70,056.40 nat. median
$29,208
outlier · 2.4×
486
MS_DRG 		Knee Procedures W Pdx Of Infection W Cc 21 $60,554.81 $69,603.23 $69,603.23 nat. median
$21,082
outlier · 3.3×
272
MS_DRG 		Other Major Cardiovascular Procedures Without Cc/mcc 21 $58,708.76 $67,481.33 $67,481.33 nat. median
$24,796
outlier · 2.7×

Other procedures at this hospital

Browse this hospital's 4,956 published procedures. Use the slice to choose what to show, then sort or filter any column.

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Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
Code Type Description Rate rows Payers Gross Cash Min $ Max $ Avg median Last observed
             
3 OTHER Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 42 21 $603,974.85 $603,974.85 $531,497.87 $603,974.85 $603,974.85 2026-04-13
3 MS_DRG Ecmo Or Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck W Maj O.r. 22 20 $603,974.85 $603,974.85 $525,458.12 $603,974.85 $603,974.85 2023-10-01
4 MS_DRG Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 22 20 $314,957.06 $314,957.06 $274,012.64 $314,957.06 $314,957.06 2023-10-01
4 OTHER Trach W Mv >96 Hrs Or Pdx Exc Face, Mouth & Neck Without Maj O.r. 42 21 $314,957.06 $314,957.06 $277,162.21 $314,957.06 $314,957.06 2026-04-13
606 MS_DRG Minor Skin Disorders W Mcc 64 21 $184,275.64 $184,275.64 $160,319.81 $184,275.64 $184,275.64 2026-04-13
239 MS_DRG Amputation For Circ Sys Disorders Exc Upper Limb & Toe W Mcc 64 21 $170,135.63 $170,135.63 $148,018.00 $170,135.63 $170,135.63 2026-04-13
577 MS_DRG Skin Graft Exc For Skin Ulcer Or Cellulitis W Cc 64 21 $150,103.54 $150,103.54 $130,590.08 $150,103.54 $150,103.54 2026-04-13
356 MS_DRG Other Digestive System O.r. Procedures W Mcc 64 21 $145,794.69 $145,794.69 $126,841.38 $145,794.69 $145,794.69 2026-04-13
453 MS_DRG Combined Anterior/posterior Spinal Fusion W Mcc 64 21 $142,111.96 $142,111.96 $123,637.41 $142,111.96 $142,111.96 2026-04-13
981 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Mcc 64 21 $131,657.73 $131,657.73 $114,542.23 $131,657.73 $131,657.73 2026-04-13
957 MS_DRG Other O.r. Procedures For Multiple Significant Trauma W Mcc 64 21 $129,757.76 $129,757.76 $112,889.25 $129,757.76 $129,757.76 2026-04-13
207 MS_DRG Respiratory System Diagnosis W Ventilator Support >96 Hours 64 21 $127,406.43 $127,406.43 $110,843.59 $127,406.43 $127,406.43 2026-04-13
870 MS_DRG Septicemia Or Severe Sepsis W Mv >96 Hours 64 21 $115,393.65 $115,393.65 $100,392.48 $115,393.65 $115,393.65 2026-04-13
163 MS_DRG Major Chest Procedures W Mcc 64 21 $111,840.35 $111,840.35 $97,301.10 $111,840.35 $111,840.35 2026-04-13
270 MS_DRG Other Major Cardiovascular Procedures W Mcc 64 21 $111,569.41 $111,569.41 $97,065.39 $111,569.41 $111,569.41 2026-04-13
454 MS_DRG Combined Anterior/posterior Spinal Fusion W Cc 64 21 $109,747.12 $109,747.12 $95,479.99 $109,747.12 $109,747.12 2026-04-13
460 MS_DRG Spinal Fusion Except Cervical Without Mcc 64 21 $104,898.80 $104,898.80 $91,261.96 $104,898.80 $104,898.80 2026-04-13
983 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis Without Cc/mcc 64 21 $103,525.00 $103,525.00 $90,066.75 $103,525.00 $103,525.00 2026-04-13
33249 CPT Aicd With Lead(s) 102 21 $98,780.00 $98,780.00 $908.85 $104,796.00 $98,780.00 2026-04-13
477 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Mcc 64 21 $98,052.17 $98,052.17 $85,305.39 $98,052.17 $98,052.17 2026-04-13
247 MS_DRG Perc Cardiovasc Proc W Drug-eluting Stent Without Mcc 64 21 $96,763.91 $96,763.91 $84,184.60 $96,763.91 $96,763.91 2026-04-13
242 MS_DRG Permanent Cardiac Pacemaker Implant W Mcc 64 21 $94,556.63 $94,556.63 $82,264.27 $94,556.63 $94,556.63 2026-04-13
934 MS_DRG Full Thickness Burn Without Skin Graft Or Inhal Inj 64 21 $93,923.83 $93,923.83 $81,713.73 $93,923.83 $93,923.83 2026-04-13
455 MS_DRG Combined Anterior/posterior Spinal Fusion Without Cc/mcc 64 21 $93,265.26 $93,265.26 $81,140.78 $93,265.26 $93,265.26 2026-04-13
Q2043 HCPCS Provenge 102 21 $92,858.00 $92,858.00 $53,981.46 $98,513.00 $92,858.00 2026-04-13
853 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Mcc 64 21 $92,635.36 $92,635.36 $80,592.76 $92,635.36 $92,635.36 2026-04-13
335 MS_DRG Peritoneal Adhesiolysis W Mcc 64 21 $91,506.25 $91,506.25 $79,610.44 $91,506.25 $91,506.25 2026-04-13
246 MS_DRG Percutaneous Cardiovascular Procedures W Drug-eluting Stent W Mcc Or 4+ Arteries… 64 21 $90,811.37 $90,811.37 $79,005.89 $90,811.37 $90,811.37 2026-04-13
374 MS_DRG Digestive Malignancy W Mcc 64 21 $89,695.83 $89,695.83 $78,035.37 $89,695.83 $89,695.83 2026-04-13
341 MS_DRG Appendectomy Without Complicated Principal Diag W Mcc 64 21 $86,113.86 $86,113.86 $74,919.06 $86,113.86 $86,113.86 2026-04-13
252 MS_DRG Other Vascular Procedures W Mcc 64 21 $85,841.28 $85,841.28 $74,681.91 $85,841.28 $85,841.28 2026-04-13
329 MS_DRG Major Small & Large Bowel Procedures W Mcc 64 21 $83,018.75 $83,018.75 $72,226.31 $83,018.75 $83,018.75 2026-04-13
243 MS_DRG Permanent Cardiac Pacemaker Implant W Cc 64 21 $82,596.56 $82,596.56 $71,859.01 $82,596.56 $82,596.56 2026-04-13
511 MS_DRG Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc W Cc 64 21 $82,405.43 $82,405.43 $71,692.72 $82,405.43 $82,405.43 2026-04-13
497 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur Without Cc/mcc 64 21 $82,325.55 $82,325.55 $71,623.23 $82,325.55 $82,325.55 2026-04-13
664 MS_DRG Minor Bladder Procedures Without Cc/mcc 64 21 $82,280.48 $82,280.48 $71,584.02 $82,280.48 $82,280.48 2026-04-13
539 MS_DRG Osteomyelitis W Mcc 64 21 $81,972.10 $81,972.10 $71,315.73 $81,972.10 $81,972.10 2026-04-13
33264 CPT Rmvl & Rplcmt Defib Gen Mlt Ld 44 21 $81,600.00 $81,600.00 $355.88 $81,600.00 $81,600.00 2026-04-13
467 MS_DRG Revision Of Hip Or Knee Replacement W Cc 64 21 $81,527.72 $81,527.72 $70,929.12 $81,527.72 $81,527.72 2026-04-13
164 MS_DRG Major Chest Procedures W Cc 64 21 $78,003.19 $78,003.19 $67,862.78 $78,003.19 $78,003.19 2026-04-13
95 OTHER Bacterial & Tuberculous Infections Of Nervous System W Cc 42 21 $75,926.30 $75,926.30 $66,815.14 $75,926.30 $75,926.30 2026-04-13
95 MS_DRG Bacterial & Tuberculous Infections Of Nervous System W Cc 22 20 $75,926.30 $75,926.30 $66,055.88 $75,926.30 $75,926.30 2023-10-01
468 MS_DRG Revision Of Hip Or Knee Replacement Without Cc/mcc 64 21 $75,137.87 $75,137.87 $65,369.95 $75,137.87 $75,137.87 2026-04-13
739 MS_DRG Uterine, Adnexa Proc For Non-ovarian/adnexal Malig W Mcc 64 21 $73,080.89 $73,080.89 $63,580.37 $73,080.89 $73,080.89 2026-04-13
385 MS_DRG Inflammatory Bowel Disease W Mcc 64 21 $71,600.69 $71,600.69 $62,292.60 $71,600.69 $71,600.69 2026-04-13
856 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Mcc 64 21 $71,204.62 $71,204.62 $61,948.02 $71,204.62 $71,204.62 2026-04-13
61 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 22 20 $70,056.40 $70,056.40 $60,949.07 $70,056.40 $70,056.40 2023-10-01
61 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 42 21 $70,056.40 $70,056.40 $61,649.63 $70,056.40 $70,056.40 2026-04-13
486 MS_DRG Knee Procedures W Pdx Of Infection W Cc 64 21 $69,603.23 $69,603.23 $60,554.81 $69,603.23 $69,603.23 2026-04-13
272 MS_DRG Other Major Cardiovascular Procedures Without Cc/mcc 64 21 $67,481.33 $67,481.33 $58,708.76 $67,481.33 $67,481.33 2026-04-13
271 MS_DRG Other Major Cardiovascular Procedures W Cc 64 21 $67,097.17 $67,097.17 $58,374.54 $67,097.17 $67,097.17 2026-04-13
492 MS_DRG Lower Extrem & Humer Proc Except Hip, Foot, Femur W Mcc 64 21 $66,427.66 $66,427.66 $57,792.06 $66,427.66 $66,427.66 2026-04-13
479 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue Without Cc/mcc 64 21 $66,318.08 $66,318.08 $57,696.73 $66,318.08 $66,318.08 2026-04-13
786 MS_DRG Cesarean Section Without Sterilization W Mcc 64 21 $65,622.43 $65,622.43 $57,091.51 $65,622.43 $65,622.43 2026-04-13
503 MS_DRG Foot Procedures W Mcc 64 21 $65,551.58 $65,551.58 $57,029.87 $65,551.58 $65,551.58 2026-04-13
502 MS_DRG Soft Tissue Procedures Without Cc/mcc 64 21 $64,970.40 $64,970.40 $56,524.25 $64,970.40 $64,970.40 2026-04-13
326 MS_DRG Stomach, Esophageal & Duodenal Proc W Mcc 64 21 $63,365.22 $63,365.22 $55,127.74 $63,365.22 $63,365.22 2026-04-13
551 MS_DRG Medical Back Problems W Mcc 64 21 $63,121.19 $63,121.19 $54,915.44 $63,121.19 $63,121.19 2026-04-13
253 MS_DRG Other Vascular Procedures W Cc 64 21 $62,459.10 $62,459.10 $54,339.42 $62,459.10 $62,459.10 2026-04-13
474 MS_DRG Amputation For Musculoskeletal Sys & Conn Tissue Dis W Mcc 64 21 $61,380.38 $61,380.38 $53,400.93 $61,380.38 $61,380.38 2026-04-13
674 MS_DRG Other Kidney & Urinary Tract Procedures W Cc 64 21 $61,160.97 $61,160.97 $53,210.04 $61,160.97 $61,160.97 2026-04-13
41 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 22 20 $60,269.40 $60,269.40 $52,434.38 $60,269.40 $60,269.40 2023-10-01
41 OTHER Periph/cranial Nerve & Other Nerv Syst Proc W Cc Or Periph Neurostim 42 21 $60,269.40 $60,269.40 $53,037.07 $60,269.40 $60,269.40 2026-04-13
469 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity W Mcc Or… 64 21 $60,116.36 $60,116.36 $52,301.23 $60,116.36 $60,116.36 2026-04-13
68 MS_DRG Nonspecific Cva & Precerebral Occlusion Without Infarct Without Mcc 22 20 $59,635.10 $59,635.10 $51,882.54 $59,635.10 $59,635.10 2023-10-01
68 OTHER Nonspecific Cva & Precerebral Occlusion Without Infarct Without Mcc 42 21 $59,635.10 $59,635.10 $52,478.89 $59,635.10 $59,635.10 2026-04-13
464 MS_DRG Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis W Cc 64 21 $58,899.97 $58,899.97 $51,242.97 $58,899.97 $58,899.97 2026-04-13
480 MS_DRG Hip & Femur Procedures Except Major Joint W Mcc 64 21 $58,615.26 $58,615.26 $50,995.28 $58,615.26 $58,615.26 2026-04-13
585 MS_DRG Breast Biopsy, Local Excision & Other Breast Procedures Without Cc/mcc 64 21 $58,475.18 $58,475.18 $50,873.41 $58,475.18 $58,475.18 2026-04-13
350 MS_DRG Inguinal & Femoral Hernia Procedures W Mcc 64 21 $58,310.50 $58,310.50 $50,730.14 $58,310.50 $58,310.50 2026-04-13
33263 CPT Icd Gen Chg Out Dual Lead 102 21 $58,292.00 $58,292.00 $326.57 $61,842.00 $58,292.00 2026-04-13
444 MS_DRG Disorders Of The Biliary Tract W Mcc 64 21 $57,827.97 $57,827.97 $50,310.33 $57,827.97 $57,827.97 2026-04-13
574 MS_DRG Skin Graft For Skin Ulcer Or Cellulitis W Cc 64 21 $57,558.32 $57,558.32 $50,075.74 $57,558.32 $57,558.32 2026-04-13
907 MS_DRG Other O.r. Procedures For Injuries W Mcc 64 21 $56,269.92 $56,269.92 $48,954.83 $56,269.92 $56,269.92 2026-04-13
264 MS_DRG Other Circulatory System O.r. Procedures 64 21 $55,841.74 $55,841.74 $48,582.31 $55,841.74 $55,841.74 2026-04-13
740 MS_DRG Uterine, Adnexa Proc For Non-ovarian/adnexal Malig W Cc 64 21 $55,825.08 $55,825.08 $48,567.82 $55,825.08 $55,825.08 2026-04-13
854 MS_DRG Infectious & Parasitic Diseases W O.r. Procedure W Cc 64 21 $55,502.79 $55,502.79 $48,287.43 $55,502.79 $55,502.79 2026-04-13
579 MS_DRG Other Skin, Subcut Tiss & Breast Proc W Mcc 64 21 $55,116.48 $55,116.48 $47,951.34 $55,116.48 $55,116.48 2026-04-13
C1822 HCPCS Stimq Neurostimulator Receiver 106 21 $55,067.00 $55,067.00 $47,908.29 $58,422.00 $55,067.00 2026-04-13
982 MS_DRG Extensive O.r. Procedure Unrelated To Principal Diagnosis W Cc 64 21 $53,581.98 $53,581.98 $46,616.32 $53,581.98 $53,581.98 2026-04-13
377 MS_DRG G.i. Hemorrhage W Mcc 64 21 $53,560.70 $53,560.70 $46,597.81 $53,560.70 $53,560.70 2026-04-13
604 MS_DRG Trauma To The Skin, Subcut Tiss & Breast W Mcc 64 21 $53,456.64 $53,456.64 $46,507.28 $53,456.64 $53,456.64 2026-04-13
354 MS_DRG Hernia Procedures Except Inguinal & Femoral W Cc 64 21 $53,171.63 $53,171.63 $46,259.32 $53,171.63 $53,171.63 2026-04-13
64 OTHER Intracranial Hemorrhage Or Cerebral Infarction W Mcc 42 21 $53,086.49 $53,086.49 $46,716.11 $53,086.49 $53,086.49 2026-04-13
64 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Mcc 22 20 $53,086.49 $53,086.49 $46,185.25 $53,086.49 $53,086.49 2023-10-01
987 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Mcc 64 21 $52,653.84 $52,653.84 $45,808.84 $52,653.84 $52,653.84 2026-04-13
710 MS_DRG Penis Procedures Without Cc/mcc 64 21 $52,647.77 $52,647.77 $45,803.56 $52,647.77 $52,647.77 2026-04-13
342 MS_DRG Appendectomy Without Complicated Principal Diag W Cc 64 21 $52,461.60 $52,461.60 $45,641.59 $52,461.60 $52,461.60 2026-04-13
330 MS_DRG Major Small & Large Bowel Procedures W Cc 64 21 $52,233.66 $52,233.66 $45,443.28 $52,233.66 $52,233.66 2026-04-13
263 MS_DRG Vein Ligation & Stripping 64 21 $52,213.17 $52,213.17 $45,425.46 $52,213.17 $52,213.17 2026-04-13
974 MS_DRG HIV W Major Related Condition W Mcc 64 21 $51,797.56 $51,797.56 $45,063.88 $51,797.56 $51,797.56 2026-04-13
519 MS_DRG Back & Neck Proc Exc Spinal Fusion W Cc 64 21 $51,256.30 $51,256.30 $44,592.98 $51,256.30 $51,256.30 2026-04-13
62 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 42 21 $51,076.00 $51,076.00 $44,946.88 $51,076.00 $51,076.00 2026-04-13
62 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 22 20 $51,076.00 $51,076.00 $44,436.12 $51,076.00 $51,076.00 2023-10-01
522 MS_DRG Tbd 64 21 $50,604.45 $50,604.45 $44,025.87 $50,604.45 $50,604.45 2026-04-13
75 MS_DRG Viral Meningitis W Cc/mcc 22 20 $50,170.99 $50,170.99 $43,648.76 $50,170.99 $50,170.99 2023-10-01
75 OTHER Viral Meningitis W Cc/mcc 42 21 $50,170.99 $50,170.99 $44,150.47 $50,170.99 $50,170.99 2026-04-13
33262 CPT Icd Gen Chg Out Single Lead 102 21 $50,044.00 $50,044.00 $314.21 $53,092.00 $50,044.00 2026-04-13
481 MS_DRG Hip & Femur Procedures Except Major Joint W Cc 64 21 $49,342.52 $49,342.52 $42,927.99 $49,342.52 $49,342.52 2026-04-13
260 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Mcc 64 21 $48,714.17 $48,714.17 $42,381.33 $48,714.17 $48,714.17 2026-04-13
504 MS_DRG Foot Procedures W Cc 64 21 $48,713.99 $48,713.99 $42,381.17 $48,713.99 $48,713.99 2026-04-13
738 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy Without Cc/mcc 64 21 $48,432.58 $48,432.58 $42,136.34 $48,432.58 $48,432.58 2026-04-13
417 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. W Mcc 64 21 $48,307.61 $48,307.61 $42,027.62 $48,307.61 $48,307.61 2026-04-13
199 MS_DRG Pneumothorax W Mcc 64 21 $48,026.39 $48,026.39 $41,782.96 $48,026.39 $48,026.39 2026-04-13
63 OTHER Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 42 21 $47,903.33 $47,903.33 $42,154.93 $47,903.33 $47,903.33 2026-04-13
63 MS_DRG Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia W Thrombolytic Agen… 22 20 $47,903.33 $47,903.33 $41,675.90 $47,903.33 $47,903.33 2023-10-01
669 MS_DRG Transurethral Procedures W Cc 64 21 $47,898.80 $47,898.80 $41,671.96 $47,898.80 $47,898.80 2026-04-13
C1820 HCPCS Dcs Spectra Generator 362 21 $47,895.00 $47,895.00 $26,642.88 $93,413.00 $47,895.00 2026-04-13
673 MS_DRG Other Kidney & Urinary Tract Procedures W Mcc 64 21 $47,760.69 $47,760.69 $41,551.80 $47,760.69 $47,760.69 2026-04-13
792 MS_DRG Prematurity Without Major Problems 64 21 $47,757.19 $47,757.19 $41,548.76 $47,757.19 $47,757.19 2026-04-13
482 MS_DRG Hip & Femur Procedures Except Major Joint Without Cc/mcc 64 21 $47,600.23 $47,600.23 $41,412.20 $47,600.23 $47,600.23 2026-04-13
896 MS_DRG Alcohol/drug Abuse Or Dependence Without Rehabilitation Therapy W Mcc 64 21 $47,472.33 $47,472.33 $41,300.93 $47,472.33 $47,472.33 2026-04-13
288 MS_DRG Acute & Subacute Endocarditis W Mcc 64 21 $47,342.04 $47,342.04 $41,187.57 $47,342.04 $47,342.04 2026-04-13
488 MS_DRG Knee Procedures Without Pdx Of Infection W Cc/mcc 64 21 $47,171.67 $47,171.67 $41,039.35 $47,171.67 $47,171.67 2026-04-13
67 OTHER Nonspecific Cva & Precerebral Occlusion Without Infarct W Mcc 42 21 $47,143.15 $47,143.15 $41,485.97 $47,143.15 $47,143.15 2026-04-13
67 MS_DRG Nonspecific Cva & Precerebral Occlusion Without Infarct W Mcc 22 20 $47,143.15 $47,143.15 $41,014.54 $47,143.15 $47,143.15 2023-10-01
C1767 HCPCS Interstim Neurogenerator 170 21 $47,071.00 $47,071.00 $26,950.86 $55,620.00 $47,071.00 2026-04-13
183 MS_DRG Major Chest Trauma W Mcc 64 21 $46,443.36 $46,443.36 $40,405.72 $46,443.36 $46,443.36 2026-04-13
52 MS_DRG Spinal Disorders & Injuries W Cc/mcc 22 20 $46,222.33 $46,222.33 $40,213.43 $46,222.33 $46,222.33 2023-10-01
52 OTHER Spinal Disorders & Injuries W Cc/mcc 42 21 $46,222.33 $46,222.33 $40,675.65 $46,222.33 $46,222.33 2026-04-13
876 MS_DRG O.r. Procedure W Principal Diagnoses Of Mental Illness 64 21 $45,740.64 $45,740.64 $39,794.36 $45,740.64 $45,740.64 2026-04-13
917 MS_DRG Poisoning & Toxic Effects Of Drugs W Mcc 64 21 $45,275.99 $45,275.99 $39,390.11 $45,275.99 $45,275.99 2026-04-13
466 MS_DRG Revision Of Hip Or Knee Replacement W Mcc 64 21 $45,182.18 $45,182.18 $39,308.50 $45,182.18 $45,182.18 2026-04-13
C1722 HCPCS Aicd - Single Gen 170 21 $44,940.00 $44,940.00 $9,806.64 $47,678.00 $44,940.00 2026-04-13
C1721 HCPCS Aicd Duan Gen 106 21 $44,940.00 $44,940.00 $39,097.80 $47,678.00 $44,940.00 2026-04-13
37230 CPT Tibial/peroneal Stent 70 21 $44,373.00 $44,373.00 $7,126.76 $44,373.00 $44,373.00 2026-04-13
37231 CPT Tibial/peroneal Stent W/ather 70 21 $44,373.00 $44,373.00 $11,439.45 $44,373.00 $44,373.00 2026-04-13
37229 CPT Tibial/peroneal Atherectomy 70 21 $44,373.00 $44,373.00 $9,072.06 $44,373.00 $44,373.00 2026-04-13
G2170 HCPCS Percut Creation Av Fistula 64 21 $43,884.00 $43,884.00 $38,179.08 $43,884.00 $43,884.00 2026-04-13
42 OTHER Periph/cranial Nerve & Other Nerv Syst Proc Without Cc/mcc 42 21 $43,852.51 $43,852.51 $38,590.21 $43,852.51 $43,852.51 2026-04-13
42 MS_DRG Periph/cranial Nerve & Other Nerv Syst Proc Without Cc/mcc 22 20 $43,852.51 $43,852.51 $38,151.68 $43,852.51 $43,852.51 2023-10-01
294 MS_DRG Deep Vein Thrombophlebitis W Cc/mcc 64 21 $43,694.45 $43,694.45 $38,014.17 $43,694.45 $43,694.45 2026-04-13
261 MS_DRG Cardiac Pacemaker Revision Except Device Replacement W Cc 64 21 $43,691.28 $43,691.28 $38,011.41 $43,691.28 $43,691.28 2026-04-13
C9774 HCPCS Ivl Tibial/peroneal 97 21 $43,503.00 $43,503.00 $17,177.60 $46,153.00 $43,503.00 2026-04-13
493 MS_DRG Lower Extrem & Humer Proc Except Hip, Foot, Femur W Cc 64 21 $43,399.36 $43,399.36 $37,757.44 $43,399.36 $43,399.36 2026-04-13
255 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Mcc 64 21 $43,364.51 $43,364.51 $37,727.12 $43,364.51 $43,364.51 2026-04-13
286 MS_DRG Circulatory Disorders Except Ami, W Card Cath W Mcc 64 21 $43,227.60 $43,227.60 $37,608.01 $43,227.60 $43,227.60 2026-04-13
654 MS_DRG Major Bladder Procedures W Cc 64 21 $42,869.64 $42,869.64 $37,296.59 $42,869.64 $42,869.64 2026-04-13
470 MS_DRG Major Hip And Knee Joint Replacement Or Reattachment Of Lower Extremity Without Mcc 64 21 $42,622.45 $42,622.45 $37,081.53 $42,622.45 $42,622.45 2026-04-13
919 MS_DRG Complications Of Treatment W Mcc 64 21 $42,618.54 $42,618.54 $37,078.13 $42,618.54 $42,618.54 2026-04-13
543 MS_DRG Pathological Fractures & Musculoskelet & Conn Tiss Malig W Cc 64 21 $42,610.11 $42,610.11 $37,070.80 $42,610.11 $42,610.11 2026-04-13
C1882 HCPCS Biventricular Generator 106 21 $42,490.00 $42,490.00 $36,966.30 $45,078.00 $42,490.00 2026-04-13
623 MS_DRG Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Cc 64 21 $42,484.01 $42,484.01 $36,961.09 $42,484.01 $42,484.01 2026-04-13
0238T OTHER Atherectomy Iliac Artery 74 21 $42,421.00 $42,421.00 $17,177.60 $45,005.00 $42,421.00 2026-04-13
0238T CPT Atherectomy Iliac Artery 23 20 $42,421.00 $42,421.00 $17,177.60 $42,421.00 $42,421.00 2023-10-01
412 MS_DRG Cholecystectomy W C.d.e. W Cc 64 21 $42,225.79 $42,225.79 $36,736.44 $42,225.79 $42,225.79 2026-04-13
296 MS_DRG Cardiac Arrest, Unexplained W Mcc 64 21 $42,138.37 $42,138.37 $36,660.38 $42,138.37 $42,138.37 2026-04-13
339 MS_DRG Appendectomy W Complicated Principal Diag W Cc 64 21 $42,046.48 $42,046.48 $36,580.44 $42,046.48 $42,046.48 2026-04-13
180 MS_DRG Respiratory Neoplasms W Mcc 64 21 $41,970.95 $41,970.95 $36,514.73 $41,970.95 $41,970.95 2026-04-13
909 MS_DRG Other O.r. Procedures For Injuries Without Cc/mcc 64 21 $41,851.27 $41,851.27 $36,410.60 $41,851.27 $41,851.27 2026-04-13
388 MS_DRG G.i. Obstruction W Mcc 64 21 $41,553.26 $41,553.26 $36,151.34 $41,553.26 $41,553.26 2026-04-13
36906 CPT Thrombolysis Stent 102 21 $41,523.00 $41,523.00 $5,819.09 $44,052.00 $41,523.00 2026-04-13
515 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Mcc 64 21 $41,395.48 $41,395.48 $36,014.07 $41,395.48 $41,395.48 2026-04-13
327 MS_DRG Stomach, Esophageal & Duodenal Proc W Cc 64 21 $41,368.67 $41,368.67 $35,990.74 $41,368.67 $41,368.67 2026-04-13
208 MS_DRG Respiratory System Diagnosis W Ventilator Support <=96 Hours 64 21 $41,353.94 $41,353.94 $35,977.93 $41,353.94 $41,353.94 2026-04-13
189 MS_DRG Pulmonary Edema & Respiratory Failure 64 21 $41,178.21 $41,178.21 $35,825.04 $41,178.21 $41,178.21 2026-04-13
844 MS_DRG Other Myeloprolif Dis Or Poorly Diff Neopl Diag W Cc 64 21 $40,854.98 $40,854.98 $35,543.83 $40,854.98 $40,854.98 2026-04-13
496 MS_DRG Local Excision & Removal Int Fix Devices Exc Hip & Femur W Cc 64 21 $40,797.56 $40,797.56 $35,493.88 $40,797.56 $40,797.56 2026-04-13
340 MS_DRG Appendectomy W Complicated Principal Diag Without Cc/mcc 64 21 $40,486.58 $40,486.58 $35,223.32 $40,486.58 $40,486.58 2026-04-13
562 MS_DRG Fx, Sprn, Strn & Disl Except Femur, Hip, Pelvis & Thigh W Mcc 64 21 $40,378.04 $40,378.04 $35,128.89 $40,378.04 $40,378.04 2026-04-13
244 MS_DRG Permanent Cardiac Pacemaker Implant Without Cc/mcc 64 21 $40,234.50 $40,234.50 $35,004.01 $40,234.50 $40,234.50 2026-04-13
582 MS_DRG Mastectomy For Malignancy W Cc/mcc 64 21 $40,012.05 $40,012.05 $34,810.48 $40,012.05 $40,012.05 2026-04-13
557 MS_DRG Tendonitis, Myositis & Bursitis W Mcc 64 21 $39,705.35 $39,705.35 $34,543.65 $39,705.35 $39,705.35 2026-04-13
501 MS_DRG Soft Tissue Procedures W Cc 64 21 $39,626.30 $39,626.30 $34,474.88 $39,626.30 $39,626.30 2026-04-13
871 MS_DRG Septicemia Or Severe Sepsis Without Mv >96 Hours W Mcc 64 21 $39,371.25 $39,371.25 $34,252.99 $39,371.25 $39,371.25 2026-04-13
657 MS_DRG Kidney & Ureter Procedures For Neoplasm W Cc 64 21 $39,190.09 $39,190.09 $34,095.38 $39,190.09 $39,190.09 2026-04-13
147 MS_DRG Ear, Nose, Mouth & Throat Malignancy W Cc 64 21 $39,182.82 $39,182.82 $34,089.05 $39,182.82 $39,182.82 2026-04-13
328 MS_DRG Stomach, Esophageal & Duodenal Proc Without Cc/mcc 64 21 $39,099.99 $39,099.99 $34,016.99 $39,099.99 $39,099.99 2026-04-13
483 MS_DRG Major Joint/limb Reattachment Procedure Of Upper Extremities 64 21 $39,067.55 $39,067.55 $33,988.77 $39,067.55 $39,067.55 2026-04-13
438 MS_DRG Disorders Of Pancreas Except Malignancy W Mcc 64 21 $38,934.07 $38,934.07 $33,872.64 $38,934.07 $38,934.07 2026-04-13
616 MS_DRG Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis W Mcc 64 21 $38,844.25 $38,844.25 $33,794.50 $38,844.25 $38,844.25 2026-04-13
314 MS_DRG Other Circulatory System Diagnoses W Mcc 64 21 $38,703.43 $38,703.43 $33,671.98 $38,703.43 $38,703.43 2026-04-13
736 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Mcc 64 21 $38,529.74 $38,529.74 $33,520.87 $38,529.74 $38,529.74 2026-04-13
592 MS_DRG Skin Ulcers W Mcc 64 21 $38,400.24 $38,400.24 $33,408.21 $38,400.24 $38,400.24 2026-04-13
420 MS_DRG Hepatobiliary Diagnostic Procedures W Mcc 64 21 $38,393.81 $38,393.81 $33,402.61 $38,393.81 $38,393.81 2026-04-13
418 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. W Cc 64 21 $38,378.15 $38,378.15 $33,388.99 $38,378.15 $38,378.15 2026-04-13
331 MS_DRG Major Small & Large Bowel Procedures Without Cc/mcc 64 21 $38,238.89 $38,238.89 $33,267.83 $38,238.89 $38,238.89 2026-04-13
343 MS_DRG Appendectomy Without Complicated Principal Diag Without Cc/mcc 64 21 $38,177.42 $38,177.42 $33,214.36 $38,177.42 $38,177.42 2026-04-13
629 MS_DRG Other Endocrine, Nutrit & Metab O.r. Proc W Cc 64 21 $37,799.86 $37,799.86 $32,885.88 $37,799.86 $37,799.86 2026-04-13
799 MS_DRG Splenectomy W Mcc 64 21 $37,788.48 $37,788.48 $32,875.98 $37,788.48 $37,788.48 2026-04-13
748 MS_DRG Female Reproductive System Reconstructive Procedures 64 21 $37,327.95 $37,327.95 $32,475.32 $37,327.95 $37,327.95 2026-04-13
988 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis W Cc 64 21 $37,275.46 $37,275.46 $32,429.65 $37,275.46 $37,275.46 2026-04-13
512 MS_DRG Shoulder, Elbow Or Forearm Proc, Exc Major Joint Proc Without Cc/mcc 64 21 $36,935.59 $36,935.59 $32,133.96 $36,935.59 $36,935.59 2026-04-13
868 MS_DRG Other Infectious & Parasitic Diseases Diagnoses W Cc 64 21 $36,898.29 $36,898.29 $32,101.51 $36,898.29 $36,898.29 2026-04-13
358 MS_DRG Other Digestive System O.r. Procedures Without Cc/mcc 64 21 $36,620.37 $36,620.37 $31,859.72 $36,620.37 $36,620.37 2026-04-13
906 MS_DRG Hand Procedures For Injuries 64 21 $36,553.02 $36,553.02 $31,801.13 $36,553.02 $36,553.02 2026-04-13
617 MS_DRG Amputat Of Lower Limb For Endocrine, Nutrit, & Metabol Dis W Cc 64 21 $36,466.86 $36,466.86 $31,726.17 $36,466.86 $36,466.86 2026-04-13
754 MS_DRG Malignancy, Female Reproductive System W Mcc 64 21 $36,345.86 $36,345.86 $31,620.90 $36,345.86 $36,345.86 2026-04-13
351 MS_DRG Inguinal & Femoral Hernia Procedures W Cc 64 21 $36,178.44 $36,178.44 $31,475.24 $36,178.44 $36,178.44 2026-04-13
742 MS_DRG Uterine & Adnexa Proc For Non-malignancy W Cc/mcc 64 21 $35,756.06 $35,756.06 $31,107.77 $35,756.06 $35,756.06 2026-04-13
175 MS_DRG Pulmonary Embolism W Mcc Or Acute Cor Pulmonale 64 21 $35,748.01 $35,748.01 $31,100.77 $35,748.01 $35,748.01 2026-04-13
165 MS_DRG Major Chest Procedures Without Cc/mcc 64 21 $35,626.66 $35,626.66 $30,995.19 $35,626.66 $35,626.66 2026-04-13
857 MS_DRG Postoperative Or Post-traumatic Infections W O.r. Proc W Cc 64 21 $35,607.06 $35,607.06 $30,978.14 $35,607.06 $35,607.06 2026-04-13
682 MS_DRG Renal Failure W Mcc 64 21 $35,556.87 $35,556.87 $30,934.48 $35,556.87 $35,556.87 2026-04-13
371 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Mcc 64 21 $35,397.29 $35,397.29 $30,795.64 $35,397.29 $35,397.29 2026-04-13
347 MS_DRG Anal & Stomal Procedures W Mcc 64 21 $35,389.64 $35,389.64 $30,788.99 $35,389.64 $35,389.64 2026-04-13
770 MS_DRG Abortion W D&c, Aspiration Curettage Or Hysterotomy 64 21 $35,285.28 $35,285.28 $30,698.19 $35,285.28 $35,285.28 2026-04-13
408 MS_DRG Biliary Tract Proc Except Only Cholecyst W Or Without C.d.e. W Mcc 64 21 $35,281.98 $35,281.98 $30,695.32 $35,281.98 $35,281.98 2026-04-13
637 MS_DRG Diabetes W Mcc 64 21 $35,280.48 $35,280.48 $30,694.02 $35,280.48 $35,280.48 2026-04-13
687 MS_DRG Kidney & Urinary Tract Neoplasms W Cc 64 21 $35,113.56 $35,113.56 $30,548.80 $35,113.56 $35,113.56 2026-04-13
535 MS_DRG Fractures Of Hip & Pelvis W Mcc 64 21 $35,041.82 $35,041.82 $30,486.38 $35,041.82 $35,041.82 2026-04-13
478 MS_DRG Biopsies Of Musculoskeletal System & Connective Tissue W Cc 64 21 $34,986.77 $34,986.77 $30,438.49 $34,986.77 $34,986.77 2026-04-13
283 MS_DRG Acute Myocardial Infarction, Expired W Mcc 64 21 $34,805.07 $34,805.07 $30,280.41 $34,805.07 $34,805.07 2026-04-13
70 OTHER Nonspecific Cerebrovascular Disorders W Mcc 42 21 $34,787.64 $34,787.64 $30,613.12 $34,787.64 $34,787.64 2026-04-13
70 MS_DRG Nonspecific Cerebrovascular Disorders W Mcc 22 20 $34,787.64 $34,787.64 $30,265.25 $34,787.64 $34,787.64 2023-10-01
419 MS_DRG Laparoscopic Cholecystectomy Without C.d.e. Without Cc/mcc 64 21 $34,736.51 $34,736.51 $30,220.76 $34,736.51 $34,736.51 2026-04-13
908 MS_DRG Other O.r. Procedures For Injuries W Cc 64 21 $34,539.53 $34,539.53 $30,049.39 $34,539.53 $34,539.53 2026-04-13
494 MS_DRG Lower Extrem & Humer Proc Except Hip, Foot, Femur Without Cc/mcc 64 21 $34,126.52 $34,126.52 $29,690.07 $34,126.52 $34,126.52 2026-04-13
J2350 HCPCS Ocrevus 300mg Inj 102 21 $34,100.00 $34,100.00 $59.65 $36,177.00 $34,100.00 2026-04-13
J9228 HCPCS Yervoy 200mg/40ml Injecti 153 21 $36,498.00 $36,498.00 $165.77 $38,721.00 $34,074.48 2026-04-13
287 MS_DRG Circulatory Disorders Except Ami, W Card Cath Without Mcc 64 21 $33,950.68 $33,950.68 $29,537.09 $33,950.68 $33,950.68 2026-04-13
707 MS_DRG Major Male Pelvic Procedures W Cc/mcc 64 21 $33,918.74 $33,918.74 $29,509.30 $33,918.74 $33,918.74 2026-04-13
280 MS_DRG Acute Myocardial Infarction, Discharged Alive W Mcc 64 21 $33,544.62 $33,544.62 $29,183.82 $33,544.62 $33,544.62 2026-04-13
37227 CPT Femor/popliteal Stent W/ather 102 21 $44,373.00 $44,373.00 $5,776.32 $44,373.00 $33,473.78 2026-04-13
517 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc Without Cc/mcc 64 21 $33,429.07 $33,429.07 $29,083.29 $33,429.07 $33,429.07 2026-04-13
862 MS_DRG Postoperative & Post-traumatic Infections W Mcc 64 21 $33,318.02 $33,318.02 $28,986.68 $33,318.02 $33,318.02 2026-04-13
98 OTHER Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc 42 21 $33,018.17 $33,018.17 $29,055.99 $33,018.17 $33,018.17 2026-04-13
98 MS_DRG Non-bacterial Infect Of Nervous Sys Exc Viral Meningitis W Cc 22 20 $33,018.17 $33,018.17 $28,725.81 $33,018.17 $33,018.17 2023-10-01
336 MS_DRG Peritoneal Adhesiolysis W Cc 64 21 $32,922.02 $32,922.02 $28,642.16 $32,922.02 $32,922.02 2026-04-13
622 MS_DRG Skin Grafts & Wound Debrid For Endoc, Nutrit & Metab Dis W Mcc 64 21 $32,905.66 $32,905.66 $28,627.92 $32,905.66 $32,905.66 2026-04-13
181 MS_DRG Respiratory Neoplasms W Cc 64 21 $32,767.79 $32,767.79 $28,507.98 $32,767.79 $32,767.79 2026-04-13
581 MS_DRG Other Skin, Subcut Tiss & Breast Proc Without Cc/mcc 64 21 $32,724.82 $32,724.82 $28,470.59 $32,724.82 $32,724.82 2026-04-13
290 MS_DRG Acute & Subacute Endocarditis Without Cc/mcc 64 21 $32,482.27 $32,482.27 $28,259.57 $32,482.27 $32,482.27 2026-04-13
698 MS_DRG Other Kidney & Urinary Tract Diagnoses W Mcc 64 21 $32,477.12 $32,477.12 $28,255.09 $32,477.12 $32,477.12 2026-04-13
382 MS_DRG Complicated Peptic Ulcer Without Cc/mcc 64 21 $32,130.97 $32,130.97 $27,953.94 $32,130.97 $32,130.97 2026-04-13
840 MS_DRG Lymphoma & Non-acute Leukemia W Mcc 64 21 $31,768.54 $31,768.54 $27,638.63 $31,768.54 $31,768.54 2026-04-13
809 MS_DRG Major Hematol/immun Diag Exc Sickle Cell Crisis & Coagul W Cc 64 21 $31,682.33 $31,682.33 $27,563.63 $31,682.33 $31,682.33 2026-04-13
C1772 HCPCS Medtronic Pain Pump 106 21 $31,673.00 $31,673.00 $27,555.51 $33,603.00 $31,673.00 2026-04-13
256 MS_DRG Upper Limb & Toe Amputation For Circ System Disorders W Cc 64 21 $31,664.12 $31,664.12 $27,547.78 $31,664.12 $31,664.12 2026-04-13
375 MS_DRG Digestive Malignancy W Cc 64 21 $31,590.04 $31,590.04 $27,483.33 $31,590.04 $31,590.04 2026-04-13
C9766 HCPCS Ivl And Ather With Angioplasty 97 21 $31,588.00 $31,588.00 $17,177.60 $33,512.00 $31,588.00 2026-04-13
518 MS_DRG Back & Neck Proc Exc Spinal Fusion W Mcc Or Disc Device/neurostim 64 21 $31,488.05 $31,488.05 $27,394.60 $31,488.05 $31,488.05 2026-04-13
658 MS_DRG Kidney & Ureter Procedures For Neoplasm Without Cc/mcc 64 21 $31,330.89 $31,330.89 $27,257.87 $31,330.89 $31,330.89 2026-04-13
432 MS_DRG Cirrhosis & Alcoholic Hepatitis W Mcc 64 21 $31,232.84 $31,232.84 $27,172.57 $31,232.84 $31,232.84 2026-04-13
644 MS_DRG Endocrine Disorders W Cc 64 21 $31,142.83 $31,142.83 $27,094.26 $31,142.83 $31,142.83 2026-04-13
91 MS_DRG Other Disorders Of Nervous System W Mcc 22 20 $31,011.94 $31,011.94 $26,980.39 $31,011.94 $31,011.94 2023-10-01
91 OTHER Other Disorders Of Nervous System W Mcc 42 21 $31,011.94 $31,011.94 $27,290.51 $31,011.94 $31,011.94 2026-04-13
387 MS_DRG Inflammatory Bowel Disease Without Cc/mcc 64 21 $30,980.57 $30,980.57 $26,953.10 $30,980.57 $30,980.57 2026-04-13
516 MS_DRG Other Musculoskelet Sys & Conn Tiss O.r. Proc W Cc 64 21 $30,904.44 $30,904.44 $26,886.86 $30,904.44 $30,904.44 2026-04-13
306 MS_DRG Cardiac Congenital & Valvular Disorders W Mcc 64 21 $30,722.92 $30,722.92 $26,728.94 $30,722.92 $30,722.92 2026-04-13
186 MS_DRG Pleural Effusion W Mcc 64 21 $30,717.65 $30,717.65 $26,724.36 $30,717.65 $30,717.65 2026-04-13
737 MS_DRG Uterine & Adnexa Proc For Ovarian Or Adnexal Malignancy W Cc 64 21 $30,628.37 $30,628.37 $26,646.68 $30,628.37 $30,628.37 2026-04-13
205 MS_DRG Other Respiratory System Diagnoses W Mcc 64 21 $30,579.69 $30,579.69 $26,604.33 $30,579.69 $30,579.69 2026-04-13
620 MS_DRG O.r. Procedures For Obesity W Cc 64 21 $30,451.05 $30,451.05 $26,492.41 $30,451.05 $30,451.05 2026-04-13
281 MS_DRG Acute Myocardial Infarction, Discharged Alive W Cc 64 21 $30,269.50 $30,269.50 $26,334.47 $30,269.50 $30,269.50 2026-04-13
815 MS_DRG Reticuloendothelial & Immunity Disorders W Cc 64 21 $30,170.42 $30,170.42 $26,248.27 $30,170.42 $30,170.42 2026-04-13
90 MS_DRG Concussion Without Cc/mcc 22 20 $30,138.90 $30,138.90 $26,220.84 $30,138.90 $30,138.90 2023-10-01
90 OTHER Concussion Without Cc/mcc 42 21 $30,138.90 $30,138.90 $26,522.23 $30,138.90 $30,138.90 2026-04-13
580 MS_DRG Other Skin, Subcut Tiss & Breast Proc W Cc 64 21 $30,134.16 $30,134.16 $26,216.72 $30,134.16 $30,134.16 2026-04-13
348 MS_DRG Anal & Stomal Procedures W Cc 64 21 $30,007.27 $30,007.27 $26,106.32 $30,007.27 $30,007.27 2026-04-13
391 MS_DRG Esophagitis, Gastroent & Misc Digest Disorders W Mcc 64 21 $29,974.55 $29,974.55 $26,077.86 $29,974.55 $29,974.55 2026-04-13
989 MS_DRG Non-extensive O.r. Proc Unrelated To Principal Diagnosis Without Cc/mcc 64 21 $29,892.03 $29,892.03 $26,006.07 $29,892.03 $29,892.03 2026-04-13
811 MS_DRG Red Blood Cell Disorders W Mcc 64 21 $29,876.57 $29,876.57 $25,992.62 $29,876.57 $29,876.57 2026-04-13
660 MS_DRG Kidney & Ureter Procedures For Non-neoplasm W Cc 64 21 $29,662.44 $29,662.44 $25,806.32 $29,662.44 $29,662.44 2026-04-13
177 MS_DRG Respiratory Infections & Inflammations W Mcc 64 21 $29,539.50 $29,539.50 $25,699.36 $29,539.50 $29,539.50 2026-04-13
442 MS_DRG Disorders Of Liver Except Malig, Cirr, Alc Hepa W Cc 64 21 $29,428.83 $29,428.83 $25,603.08 $29,428.83 $29,428.83 2026-04-13
628 MS_DRG Other Endocrine, Nutrit & Metab O.r. Proc W Mcc 64 21 $29,068.30 $29,068.30 $25,289.42 $29,068.30 $29,068.30 2026-04-13
384 MS_DRG Uncomplicated Peptic Ulcer Without Mcc 64 21 $29,036.48 $29,036.48 $25,261.74 $29,036.48 $29,036.48 2026-04-13
602 MS_DRG Cellulitis W Mcc 64 21 $28,980.99 $28,980.99 $25,213.46 $28,980.99 $28,980.99 2026-04-13
713 MS_DRG Transurethral Prostatectomy W Cc/mcc 64 21 $28,942.31 $28,942.31 $25,179.81 $28,942.31 $28,942.31 2026-04-13
166 MS_DRG Other Resp System O.r. Procedures W Mcc 64 21 $28,880.67 $28,880.67 $25,126.18 $28,880.67 $28,880.67 2026-04-13
J9043 HCPCS Jevtana 60 Mg/1.5ml Inj 102 21 $28,855.00 $28,855.00 $199.21 $30,613.00 $28,855.00 2026-04-13
39 OTHER Extracranial Procedures Without Cc/mcc 42 21 $28,702.99 $28,702.99 $25,258.63 $28,702.99 $28,702.99 2026-04-13
39 MS_DRG Extracranial Procedures Without Cc/mcc 22 20 $28,702.99 $28,702.99 $24,971.60 $28,702.99 $28,702.99 2023-10-01
600 MS_DRG Non-malignant Breast Disorders W Cc/mcc 64 21 $28,696.00 $28,696.00 $24,965.52 $28,696.00 $28,696.00 2026-04-13
621 MS_DRG O.r. Procedures For Obesity Without Cc/mcc 64 21 $28,687.30 $28,687.30 $24,957.95 $28,687.30 $28,687.30 2026-04-13
921 MS_DRG Complications Of Treatment Without Cc/mcc 64 21 $28,670.22 $28,670.22 $24,943.09 $28,670.22 $28,670.22 2026-04-13
372 MS_DRG Major Gastrointestinal Disorders & Peritoneal Infections W Cc 64 21 $28,568.80 $28,568.80 $24,854.86 $28,568.80 $28,568.80 2026-04-13
465 MS_DRG Wnd Debrid & Skn Grft Exc Hand, For Musculo-conn Tiss Dis Without Cc/mcc 64 21 $28,526.91 $28,526.91 $24,818.41 $28,526.91 $28,526.91 2026-04-13
193 MS_DRG Simple Pneumonia & Pleurisy W Mcc 64 21 $28,498.71 $28,498.71 $24,793.88 $28,498.71 $28,498.71 2026-04-13
196 MS_DRG Interstitial Lung Disease W Mcc 64 21 $28,366.70 $28,366.70 $24,679.03 $28,366.70 $28,366.70 2026-04-13
100 MS_DRG Seizures W Mcc 64 21 $28,270.60 $28,270.60 $24,595.42 $28,270.60 $28,270.60 2026-04-13
548 MS_DRG Septic Arthritis W Mcc 64 21 $28,256.36 $28,256.36 $24,583.03 $28,256.36 $28,256.36 2026-04-13
33213 CPT Insert Pulse Gen Dual Lead 102 21 $28,254.00 $28,254.00 $400.62 $29,975.00 $28,254.00 2026-04-13
513 MS_DRG Hand Or Wrist Proc, Except Major Thumb Or Joint Proc W Cc/mcc 64 21 $28,161.49 $28,161.49 $24,500.50 $28,161.49 $28,161.49 2026-04-13
544 MS_DRG Pathological Fractures & Musculoskelet & Conn Tiss Malig Without Cc/mcc 64 21 $27,922.63 $27,922.63 $24,292.69 $27,922.63 $27,922.63 2026-04-13
304 MS_DRG Hypertension W Mcc 64 21 $27,871.77 $27,871.77 $24,248.44 $27,871.77 $27,871.77 2026-04-13
697 MS_DRG Urethral Stricture 64 21 $27,716.56 $27,716.56 $24,113.41 $27,716.56 $27,716.56 2026-04-13
882 MS_DRG Neuroses Except Depressive 64 21 $27,644.28 $27,644.28 $24,050.52 $27,644.28 $27,644.28 2026-04-13
546 MS_DRG Connective Tissue Disorders W Cc 64 21 $27,633.16 $27,633.16 $24,040.85 $27,633.16 $27,633.16 2026-04-13
37236 CPT Inj Stent - 1st 153 21 $29,390.00 $29,390.00 $1,879.20 $31,180.00 $27,438.40 2026-04-13
33228 CPT Rmvl & Rpl Pm Gen Dual Only 102 21 $27,296.00 $27,296.00 $301.56 $28,958.00 $27,296.00 2026-04-13
33208 CPT Ins Pacer Dual, Atr, Vent Lead 102 21 $27,295.00 $27,295.00 $546.83 $28,957.00 $27,295.00 2026-04-13
33206 CPT Insert Pace Single Atrial Lead 102 21 $27,295.00 $27,295.00 $459.28 $28,957.00 $27,295.00 2026-04-13
33207 CPT Insert Pacer Single Ventr Lead 102 21 $27,295.00 $27,295.00 $538.99 $28,957.00 $27,295.00 2026-04-13
445 MS_DRG Disorders Of The Biliary Tract W Cc 64 21 $27,248.59 $27,248.59 $23,706.27 $27,248.59 $27,248.59 2026-04-13
C9764 HCPCS Ivl Femoral/popliteal Pta 97 21 $27,207.00 $27,207.00 $10,615.31 $28,865.00 $27,207.00 2026-04-13
C9765 HCPCS Ivl Femoral/popliteal Stent 97 21 $27,207.00 $27,207.00 $17,177.60 $43,347.00 $27,207.00 2026-04-13
71 MS_DRG Nonspecific Cerebrovascular Disorders W Cc 22 20 $26,979.80 $26,979.80 $23,472.43 $26,979.80 $26,979.80 2023-10-01
71 OTHER Nonspecific Cerebrovascular Disorders W Cc 42 21 $26,979.80 $26,979.80 $23,742.22 $26,979.80 $26,979.80 2026-04-13
755 MS_DRG Malignancy, Female Reproductive System W Cc 64 21 $26,900.84 $26,900.84 $23,403.73 $26,900.84 $26,900.84 2026-04-13
378 MS_DRG G.i. Hemorrhage W Cc 64 21 $26,873.97 $26,873.97 $23,380.35 $26,873.97 $26,873.97 2026-04-13
352 MS_DRG Inguinal & Femoral Hernia Procedures Without Cc/mcc 64 21 $26,849.60 $26,849.60 $23,359.15 $26,849.60 $26,849.60 2026-04-13
357 MS_DRG Other Digestive System O.r. Procedures W Cc 64 21 $26,767.33 $26,767.33 $23,287.58 $26,767.33 $26,767.33 2026-04-13
743 MS_DRG Uterine & Adnexa Proc For Non-malignancy Without Cc/mcc 64 21 $26,746.67 $26,746.67 $23,269.60 $26,746.67 $26,746.67 2026-04-13
750 MS_DRG Other Female Reproductive System O.r. Procedures Without Cc/mcc 64 21 $26,679.63 $26,679.63 $23,211.28 $26,679.63 $26,679.63 2026-04-13
564 MS_DRG Other Musculoskeletal Sys & Connective Tissue Diagnoses W Mcc 64 21 $26,620.75 $26,620.75 $23,160.05 $26,620.75 $26,620.75 2026-04-13
689 MS_DRG Kidney & Urinary Tract Neoplasms Without Cc/mcc 64 21 $26,574.29 $26,574.29 $23,119.63 $26,574.29 $26,574.29 2026-04-13
552 MS_DRG Medical Back Problems Without Mcc 64 21 $26,503.26 $26,503.26 $23,057.84 $26,503.26 $26,503.26 2026-04-13
65 MS_DRG Intracranial Hemorrhage Or Cerebral Infarction W Cc Or Tpa In 24 Hrs 22 20 $26,399.04 $26,399.04 $22,967.16 $26,399.04 $26,399.04 2023-10-01
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